{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T08:26:24Z","timestamp":1793953584296,"version":"4.8.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T00:00:00Z","timestamp":1611878400000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,1]]},"abstract":"\n Highlights<\/jats:title>\n <\/jats:sec>\n \n Abstract<\/jats:title>\n Distal fibula resection is a procedure that has been described as early as 1938 for the treatment of neoplastic lesions. There have been several techniques described for the reconstruction of the remaining tibiotalar joint to prevent deformity and maintain as much function as possible. While these reconstruction techniques provide an option for limb salvage with the removal of disease, patients are faced with chronic pain, loss of function, valgus instability, need for long term orthosis, early arthritis, or significant morbidity related to proximal dissection and disruption of native knee anatomy.<\/jats:p>\n \n We present a case series that is compliant with PROCESS\n 1<\/jats:sup>\n criteria to demonstrate the effective treatment with distal fibular excision and a reconstruction technique inspired by the original Tommy John procedure of the elbow. This procedure has allowed these two patients long-term stability of the ankle, maintenance of full function, and high levels of function. The first case is a 23-year-old female with high-grade osteosarcoma and the second patient is a 19-year-old female with Ewing sarcoma. Details of the procedure as well as clinical and radiographic follow up of these two patients will be described.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.ijscr.2021.01.105","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T13:32:08Z","timestamp":1613050328000},"page":"105611","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Distal fibular excision"],"prefix":"10.1097","volume":"80","author":[{"given":"Ashley","family":"Lamb","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Mueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezra","family":"Levy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet L.","family":"Hobbs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Earl","family":"Brien","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-28-20260114","first-page":"627","article-title":"Transplantation of the fibula in the same leg: transposition of the fibula for loss of the tibial diaphysis","volume":"20","author":"Carrell","year":"1938","journal-title":"JBJS"},{"key":"R3-28-20260114","doi-asserted-by":"crossref","first-page":"290","DOI":"10.3109\/17453678608994394","article-title":"Reconstruction after resection of the distal fibula for bone tumor","volume":"57","author":"Capanna","year":"1986","journal-title":"Acta Orthop. Scand"},{"key":"R4-28-20260114","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.2106\/00004623-197052070-00026","article-title":"Subperiosteal resection of the distal portion of the fibula for aneurysmal bone cyst: report of two cases","volume":"52","author":"Shoji","year":"1970","journal-title":"JBJS"},{"key":"R5-28-20260114","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1007\/s00402-003-0562-4","article-title":"Giant cell tumor of the distal fibula: fifteen-year result after en bloc resection and fibula reconstruction","volume":"124","author":"Eger","year":"2004","journal-title":"Arch. Orthop. Trauma Surg"},{"key":"R6-28-20260114","first-page":"435","article-title":"Conservative surgical treatment of osteogenic sarcoma of the limbs. Technics and functional results","volume":"71","author":"Dubousset","year":"1985","journal-title":"Rev. Chir. Orthop. Reparatrice Appar. Mot"},{"key":"R7-28-20260114","doi-asserted-by":"crossref","first-page":"1158","DOI":"10.2106\/00004623-198668080-00004","article-title":"Reconstruction of the ulnar collateral ligament in athletes","volume":"68","author":"Jobe","year":"1986","journal-title":"J. Bone Joint Surg. Am"},{"key":"R8-28-20260114","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1302\/0301-620X.94B1.27784","article-title":"Treatment of a severe neglected valgus deformity after excision of the distal fibula for Ewing\u2019s sarcoma","volume":"94","author":"Jung","year":"2012","journal-title":"J. Bone Joint Surg. Brit"},{"key":"R9-28-20260114","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1302\/0301-620X.62B4.7430225","article-title":"Rotatory stability of the load-bearing ankle. An experimental study","volume":"62","author":"McCullough","year":"1980","journal-title":"J. Bone Joint Surg. Brit"},{"key":"R10-28-20260114","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1302\/0301-620X.76B4.8027140","article-title":"Distal fibulectomy for Ewing\u2019s sarcoma","volume":"76","author":"Norman-Taylor","year":"1994","journal-title":"J. Bone Joint Surg. Brit"},{"key":"R11-28-20260114","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.1007\/s00264-012-1536-3","article-title":"Clinical management and surgical treatment of distal fibular tumours: a case series and review of the literature","volume":"36","author":"Perisano","year":"2012","journal-title":"Int. Orthop"},{"key":"R12-28-20260114","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1177\/107110078100200104","article-title":"The role of the lateral malleolus as a stabilizing factor of the ankle joint: preliminary report","volume":"2","author":"Segal","year":"1981","journal-title":"Foot Ankle"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221001073?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261221001073?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.01.105","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:38:25Z","timestamp":1768397905000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2021.01.105"}},"subtitle":["A review of the literature and presentation of our reconstruction technique case series"],"short-title":[],"issued":{"date-parts":[[2021,1]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2021.01.105","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2021,1]]}}}